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Case of the Week 491 
What is the most likely diagnosis?
- 52 year-old with pain after fall on an outstretched hand
Frontal and lateral radiograph of wrist
- Colles Fracture
- Smith's Fracture
- Barton's Fracture
- Reverse Barton's Fracture
- Perilunate Dislocation
Additional Images-None
Additional Images
None
Answer:
3. Barton's Fracture
More (Click Discussion Tab)
Barton's Fracture
General Considerations
- Intra-articular fracture of the distal radius with subluxation/dislocation of the wrist
- The lunate maintains its relationship with the fracture fragment
- May involve the volar aspect of the radius (sometimes called “reverse Barton fracture”) or the dorsal aspect
- Volar type is more common
- Most common fracture-dislocation of the wrist
MORE . . .
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52 year-old with pain after fall on an outstretched hand |
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
